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Uptake of a women-only, sex-work-specific drop-in center and links with sexual and reproductive health care for sex workers Kim, Rachel; Goldenberg, Shira; Duff, Putu; Nguyen, Paul; Gibson, Kate; Shannon, K.

Abstract

OBJECTIVE: To longitudinally examine female sex workers' (FSWs') uptake of a women-only, sex-work-specific drop-in service and its impact on their access to sexual and reproductive health (SRH) services. METHODS: For the present longitudinal analysis, data were drawn from the AESHA (An Evaluation of Sex Workers' Health Access) study, a community-based, open, prospective cohort of FSWs from Vancouver, BC, Canada. Data obtained between January 2010 and February 2013 were analyzed. Participants are followed up on a semi-annual basis. Multivariable logistic regression using generalized estimating equations was used to identify correlates of service uptake. RESULTS: Of 547 FSWs included in the present analysis, 330 (60.3%) utilized the services during the 3-year study period. Service use was independently associated with age (adjusted odds ratio [AOR] 1.04; 95% confidence interval [CI] 1.03-1.06), Aboriginal ancestry (AOR 2.18; 95% CI 1.61-2.95), injection drug use (AOR 1.67; 95% CI 1.29-2.17), exchange of sex for drugs (AOR 1.40; 95%CI 1.15-1.71), and accessing SRH services (AOR 1.65; 95% CI 1.35-2.02). CONCLUSION: A sex-work-specific drop-in space for marginalized FSWs had high uptake. Women-centered and low-threshold drop-in services can effectively link marginalized women with SRH services

Item Metadata

Title
Uptake of a women-only, sex-work-specific drop-in center and links with sexual and reproductive health care for sex workers
Creator
Kim, Rachel; Goldenberg, Shira; Duff, Putu; Nguyen, Paul; Gibson, Kate; Shannon, K.
Contributor
British Columbia Centre for Excellence in HIV/AIDS
Date Issued
2014-11-27
Description
OBJECTIVE: To longitudinally examine female sex workers' (FSWs') uptake of a women-only, sex-work-specific drop-in service and its impact on their access to sexual and reproductive health (SRH) services. METHODS: For the present longitudinal analysis, data were drawn from the AESHA (An Evaluation of Sex Workers' Health Access) study, a community-based, open, prospective cohort of FSWs from Vancouver, BC, Canada. Data obtained between January 2010 and February 2013 were analyzed. Participants are followed up on a semi-annual basis. Multivariable logistic regression using generalized estimating equations was used to identify correlates of service uptake. RESULTS: Of 547 FSWs included in the present analysis, 330 (60.3%) utilized the services during the 3-year study period. Service use was independently associated with age (adjusted odds ratio [AOR] 1.04; 95% confidence interval [CI] 1.03-1.06), Aboriginal ancestry (AOR 2.18; 95% CI 1.61-2.95), injection drug use (AOR 1.67; 95% CI 1.29-2.17), exchange of sex for drugs (AOR 1.40; 95%CI 1.15-1.71), and accessing SRH services (AOR 1.65; 95% CI 1.35-2.02). CONCLUSION: A sex-work-specific drop-in space for marginalized FSWs had high uptake. Women-centered and low-threshold drop-in services can effectively link marginalized women with SRH services
Subject
Health access; Health services; Outreach services; Peer-led; Reproductive health; Sex work; Sexual health; Support services
Geographic Location
Downtown-Eastside (Vancouver, B.C.)
Genre
Article
Type
Text
Language
eng
Date Available
2017-01-18
Provider
Vancouver : University of British Columbia Library
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International
DOI
10.14288/1.0314916
URI
http://hdl.handle.net/2429/59300
Affiliation
Medicine, Faculty of; Other UBC; Non UBC; Medicine, Department of; Obstetrics and Gynaecology, Department of
Citation
Kim, R., Goldenberg, S., Duff, P., Nguyen, P., Gibson, K., & Shannon, K. (2015). Uptake of a women-only, sex-work-specific drop-in center and links with sexual and reproductive health care for sex workers. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 128(3), 201–205.
Publisher DOI
10.1016/j.ijgo.2014.09.026
Peer Review Status
Reviewed
Scholarly Level
Faculty; Researcher; Graduate
Rights URI
http://creativecommons.org/licenses/by-nc-nd/4.0/
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Attribution-NonCommercial-NoDerivatives 4.0 International